HomeMy WebLinkAboutPermit Electrical 1999-7-13
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The following project as submittad has the following
zoning, and does not require specific land use
approval. .
Zoning fl...Dt;?-
225 FIITH STREET Pate -1/ !I:),Vj '1 ELECTRICAL PERMIT APPLICATION
~~~~gi~~iEg~~~~oi?~~~kll'9' ~ City Job Number Q90 <7:0 c/
OFFICE: 726-3759 ~ ~
3. COMPLETE FEE SCHEDULE BELOII
1. LOCATION OF INSTALLATION
14 "1 I I'H--' IV ~(,., s: ~ 8 ~;t ~w Residen tial-Single or
:: ~ ~ ~ !!lilti-Family per dwelling unit.
LEGAL DESCRIPTION ~ m ~ m ~rvice Included:
170:2., d.S "':)'~6JU u" 0 ~ N ~ IT' Items Cost
~mm=1
JOB DE~CRIPTION "1J 0 0 (J) 1000 sq. ft. or less
.._~ nIT10C::J:
_t+CA-1 11"'"'- n 4-, et+I4-...oLo.JCrJ :II i5 l> Each addi tional 500
,. 0 (J),m F sq. ft or portion
Permi ts are non-transferable and expRe5j :II ~ thereof
if work is not started wi thin 180 days ~ ~ "1J Each Manuf'd Home, or
of issuance or if work is suspended forO (J) Rl Modular Dwelling
180 days. ~ ;R "Ti Service or Feeder
m:Il-l
o ~. ffi Services or Feeders
(3 YInstallation, Alterations
'l(E~<t(~or Relocation:
~^
200 amps or less $ 50.00
201 amps to 400 amps $ 60.00
401 amps to. 600 amps $100,00
601 amps to 1000 amps $130.00
Over 1000 amps/volts $300.00
Reconnect Only $ 40.00
o:;;Z_
- o.Q!a.o:P:
C g ~ ~ 3i 'ijdfr~orary Services or Feeders
a:::: ~:o g IhSltallation, Alteration or Relocation
(O-oc.ce.-,z
...<Cc:(J1os..-t
Expiration Date /2-30- Ou ~c:;:r3 6~~Q3amps"or less
a ~ ~ ~ 0 L1l~l;<;amps to 400 amps
Signature of Supervising Electricia~.L1l ~ 0 ~g' ~O~e~ 401 to 600 amps
'f), 1- ._ ~d./._ ~ Q ~ ~ - :"O~ 600 amps or 1000 vol ts
.-....-_ . CD. -.0.....0.0
co~ _::5 _ :r c:r ='
o ~ c5" g:>~ rBr,an-ch Circui ts
Owners Name tb ~-&..Ql ~ ~ \i1~, S ~ ii ~
J ~ ~:r '" -:1' 'Ne.!J$Alteration or Extension Per Panel
Address JL-("l,"J L~,-,,Jf!"Q~S, ~~~9.~~iii~'
, . . ~ ~o~~ :o9i~ eirc~i~ I
Clty Sf:>e,~ ft.-MU Phone ')l(Io-S-etl;;1g ~ 5\Ea<;.h1!1ddltlonal
~, g ~ '}, ~iJ.:Sl1i t or wi th Service
OIlNER INSTALLATION 0 (ll '" g !Or"Feeder Permit I $ 2.00 C),-
::1 cr.....- --1-
,"'" . ......
2.
CONTRACTOR INSTALLATION ONLY
Electrical ContractorjcS fi.1'p'TIV",
Address 0,0, 6oL. ,J.Y9 ? ~
City q JJ. oh,.J)_ Phone
J
Supervisor License Number
_1/1f~~/blt(
3 '1<175
Expiration Date
10 '01-0/
Constr Contr. Number
70kJ>-5'
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Ovners Signa ture: .
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fo-lfo-C, '1
D,)'-lW'il').--
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DATE:
RECEIPT #:
RECEIVED BY:
Sum
$ 85.00
$ 15.00
~ $ 40.00
$ 40.00
$ 55.00
$ 80.00
see liB"
above
"
$ 35.00
~,
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E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE .31, -
5% S ta t e Surcharge J, "(;<::;
3% Administrative Fee I. II
TOTAL ,-;;'9 ' Cj f.c>